| NPI | 1285693705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE L. ACOSTA President 813-984-6263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2010-01-25 |